摘要
目的分析老年胃癌患者的临床病理特征及发病特点。方法回顾性分经胃镜及术后病理确诊的老年胃癌患者90例（老年组）的临床资料，并与同期青年胃癌患者（青年组）12例相比较，观察两组在性别、临床症状、病变部位、病理类型方面的差异。结果老年组的首发症状中纳差50例（55．6％），消瘦、乏力38例（42．2％），吞咽困难23例（25.6％），贫血29例（32．2％），上腹痛34例（37．8％）、返酸嗳气17例（18．9％），与青年组的1例（8．3％）、1例（8．3％）、0例（0）、2例（16．7％）、4例（33．3％）等相比较，差异均有统计学意义（均P〈0．05）；老年组中男70例（77．8％），女20例（22．2％），与青年组的3例（25％．0）、9例（75．0％）相比较，差异有统计学意义（P〈0．05）；老年组以中、高分化腺癌为主约为85％，而青年人组以中、低分化腺癌为主约为59％，两者差异有统计学意义（P〈0．05）。结论老年胃癌患者的首发症状无特异性，男性较多，早期诊断困难，预后差。
Objective To analyze clinical pathological characteristics of gastric cancer in elderly people, and to study the characteristics of gastric cancer incidence. Methods A retrospective analysis of clinical data of gastric cancer in elderly people which were diagnosed by gastroscopy and pathology from 2003 to 2008 was undertaken, and compared to it in young people at the same period about gender, clinical symptoms, lesion, pathological types. Results There were 70 cases of men（77.8% ） and 20 cases of woman（22. 2% ） in elderly group,but there were 3 cases of man （25.0%） and 9 cases of woman （75.0%） in young group, there wsa significant difference between two group （P 〈0. 01） ;The first symptoms in elderly group and young group were loss of appetite（50 cases,55.6% and 1 case, 8. 3% ） ,thin and weak（38 cases,42.2% and 1 case,8.3% ） ,difficulty swallowing（23 cases,25.6% and o case）, anehia（29 cases ,32.2% and 2 cases, 16.7% ）, upper abdominal pain （ 34 cases, 37.1% and 4 cases, 33.3% ） respedtively. There was no significant difference between two group （ P 〉 0. 05 ）. The lesion of gastric cancer in two group were funds of stomach and cardia （39 eases, 43.3% and 1 case, 8.3% ）, antral （26 cases, 28.9% and 7 cases, 58. 3% ） ,body of stomach（22 eases,24. 4% and 4 eases,33.3% ） ,entire stomach（3 eases,3.3% and 0 case） respectively. There was significant difference between two group （P 〈 0. 05 ）. The main of pathological types was abenocarcinoma,and the main in elderly group was moderate,high differentiation（85% ） ,and the main in young group was moderate,low differentiation（ 59% ）. There was significant difference between two group （P 〈 0. 05 ）. Conclusions The symptoms of gastric eaneer in elderly people was non-specific, and it had more complications. We found that early diagnosis of gastric cancer in elderly people was difficult and it had poor prognosis.
出处
《中国基层医药》
CAS
2009年第8期1406-1407,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
胃肿瘤
老年人
Stomach neoplasma
Aged
